uni-leipzig-open-access/json/eat.23857

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{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,12,15]],"date-time":"2023-12-15T05:25:36Z","timestamp":1702617936088},"reference-count":61,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,11,24]],"date-time":"2022-11-24T00:00:00Z","timestamp":1669248000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002347","name":"Bundesministerium f\u00fcr Bildung und Forschung","doi-asserted-by":"publisher","award":["01EO1501"]},{"DOI":"10.13039\/501100019173","name":"Roland Ernst Stiftung","doi-asserted-by":"publisher","award":["3\/19"]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Previous research showed that individuals with eating disorders (EDs) can be subtyped by their levels of psychopathology and self\u2010regulation abilities. However, nothing is known about whether self\u2010regulation abilities are solely suited to depict the heterogeneity in ED and comorbid psychopathology in nonclinical samples. Therefore, this study sought to explore self\u2010regulation profiles and their ability to discriminate ED, depression and anxiety disorders, and personality dysfunction in the adult population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Within a German representative sample, <jats:italic>N<\/jats:italic>\u00a0=\u00a02391 adults (18\u201392\u2009years) were examined using latent profile analysis to identify profiles based on established cognitive and emotional self\u2010regulation scales including attention control, cognitive reappraisal, and difficulties in identifying feelings. Profiles were validated with ED, depression, anxiety, and personality dysfunction measures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The final solution selected as best balancing goodness of fit and interpretability included four profiles\u2014<jats:italic>High\u2010Functioning<\/jats:italic>, <jats:italic>Moderate\u2010Functioning<\/jats:italic>, <jats:italic>Dysregulated<\/jats:italic>, and <jats:italic>Alexithymic\u2014<\/jats:italic>with high explanatory power of <jats:italic>R<\/jats:italic><jats:sup>2<\/jats:sup>\u00a0=\u00a0.99. Profiles were characterized primarily by differences in difficulties in identifying feelings followed by differences in attention control and differed significantly regarding ED, depression and anxiety disorders, and personality dysfunction, with the <jats:italic>Dysregulated<\/jats:italic> profile showing the most unfavorable correlates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study uniquely revealed that low cognitive and emotional self\u2010regulation were indicators for ED, depression, anxiety, and personality dysfunction in the adult population. Future research should investigate whether the identified profiles predict the development of ED and comorbid psychopathology longitudinally.<\/jats:p><\/jats:sec><jats:sec><jats:title>Public Significance<\/jats:title><jats:p>Individuals with eating disorders present with difficulties in cognitive and emotional self\u2010regulation, likely maintaining their symptoms. This representative study in the German adult population sought to build profiles based on cognitive and emotional self\u2010regulation that differed in eating disorder and comorbid psychopathology. We discuss the potential to detect individuals with elevated eating disorder and comorbid psychopathology based on the identified profiles in nonclinical settings.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.23857","type":"journal-article","created":{"date-parts":[[2022,11,24]],"date-time":"2022-11-24T15:09:19Z","timestamp":1669302559000},"page":"418-427","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Self\u2010regulation profiles reflecting distinct levels of eating disorder and comorbid psychopathology in the adult population: A latent profile analysis"],"prefix":"10.1002","volume":"56","author":[{"ORCID":"http:\/\/orcid.org\/0000-0002-0570-1215","authenticated-orcid":false,"given":"Janina","family":"Eichler","sequence":"first","affiliation":[{"name":"Integrated Research and Treatment Center Adiposity Diseases, Behavioral Medicine Research Unit, Department of Psychosomatic Medicine and Psychotherapy University of Leipzig Medical Center Leipzig Germany"}]},{"ORCID":"http:\/\/orcid.org\/0000-0001-7794-2897","authenticated-orcid":false,"given":"Ricarda","family":"Schmidt","sequence":"additional","affiliation":[{"name":"Integrated Research and Treatment Center Adiposity Diseases, Behavioral Medicine Research Unit, Department of Psychosomatic Medicine and Psychotherapy University of Leipzig Medical Center Leipzig Germany"}]},{"given":"Carl","family":"Bartl","sequence":"additional","affiliation":[{"name":"Integrated Research and Treatment Center Adiposity Diseases, Behavioral Medicine Research Unit, Department of Psychosomatic Medicine and Psychotherapy University of Leipzig Medical Center Leipzig Germany"}]},{"given":"Cord","family":"Benecke","sequence":"additional","affiliation":[{"name":"Department of Psychology, Clinical Psychology and Psychotherapy, Human Sciences University of Kassel Kassel Germany"}]},{"given":"Bernhard","family":"Strauss","sequence":"additional","affiliation":[{"name":"Institute of Psychosocial Medicine, Psychotherapy and Psychooncology Jena University Hospital Jena Germany"}]},{"given":"Elmar","family":"Br\u00e4hler","sequence":"additional","affiliation":[{"name":"Integrated Research and Treatment Center Adiposity Diseases, Behavioral Medicine Research Unit, Department of Psychosomatic Medicine and Psychotherapy University of Leipzig Medical Center Leipzig Germany"},{"name":"Department of Psychosomatic Medicine and Psychotherapy University Medical Center Mainz Mainz Germany"}]},{"ORCID":"http:\/\/orcid.org\/0000-0003-2775-1296","authenticated-orcid":false,"given":"Anja","family":"Hilbert","sequence":"additional","affiliation":[{"name":"Integrated Research and Treatment Center Adiposity Diseases, Behavioral Medicine Research Unit, Department of Psychosomatic Medicine and Psychotherapy University of Leipzig Medical Center Leipzig Germany"}]}],"member":"311","published-online":{"date-parts":[[2022,11,24]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40519-016-0264-x"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1745691617716946"},{"key":"e_1_2_12_5_1","first-page":"313","volume-title":"Psychologische und sozialwissenschaftliche Kurzskalen. 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